| Payment ID | 9521 |
|---|---|
| Date Created | 10/12/22 12:27 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2686 |
| Authorization Number | |
| Applicant Information | |
| Name | Trekeisha Tinsley |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600250 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $262.50 |
| Receipt Date | 10/12/2022 |
| Comments | water deposit paid on 10/12/2022 |
| Receipt | 12-10-2022Tinsley0.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/12/2022 |
